Cirrhosis and Upper Gastrointestinal Bleeding - Mortality Model

Purpose: To evaluate a patient with cirrhosis and acute upper gastrointestinal (GI) hemorrhage using the mortality prediction model of Chen et al.

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Evaluation

Are you evaluating a patient with cirrhosis and acute upper GI hemorrhage?

Yes

Child-Pugh score (enter from 5 to 15)

Systolic blood presure

mm Hg

Diastolic blood pressure

mm Hg

Serum creatinine

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Mean arterial pressure

Value of X

Probability of death

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
- Cedars-Sinai Medical Center Predictive Index for Upper GI Hemorrhage
Criteria For Diagnosis
- EVendo Score to Screen for High Risk Esophageal Varices
Severity, Prognosis, Stage
Complications
- Upper Gastrointestinal Hemorrhage | Impact of Comorbid Disease on Mortality

Therapy

Selection
- Decision Rule of Corley et al for Adverse Outcome in Patients with Upper Gastrointestinal Hemorrhage Using Data Available at Initial Presentation
- Models of Siringo et al for Predicting the Time to the First Variceal Hemorrhage in a Patient with Cirrhosis

Monitoring

Disease Progression
- Upper Gastrointestinal Hemorrhage | Impact of Comorbid Disease on Mortality
Complication Detection
- Upper Gastrointestinal Hemorrhage | Impact of Comorbid Disease on Mortality
Comorbid Conditions
- Upper Gastrointestinal Hemorrhage | Impact of Comorbid Disease on Mortality

Specialty

Gastroenterology

Objective

severity
prognosis
stage

ICD-10

K25 - Gastric ulcer
K26 - Duodenal ulcer
K27 - Peptic ulcer, site unspecified
K28 - Gastrojejunal ulcer
K29 - Gastritis and duodenitis
K74 - Fibrosis and cirrhosis of liver
K92.2 - Gastrointestinal haemorrhage, unspecified

Info

Purpose: To evaluate a patient with cirrhosis and acute upper gastrointestinal (GI) hemorrhage using the mortality prediction model of Chen et al.

Specialty: Gastroenterology

Objective: severity, prognosis, stage

ICD-10: K25, K26, K27, K28, K29, K74, K92.2,

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